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Article: Ischemic stroke related to intracranial branch atheromatous disease and comparison with large and small artery diseases

TitleIschemic stroke related to intracranial branch atheromatous disease and comparison with large and small artery diseases
Authors
KeywordsAtherosclerosis
Cerebral infarction
Intracranial arterial disease
Stroke
Stroke classification
Stroke mechanism
Issue Date2011
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jns
Citation
Journal Of The Neurological Sciences, 2011, v. 303 n. 1-2, p. 80-84 How to Cite?
AbstractBackground: The mechanism of ischemic stroke in intracranial branch atheromatous disease (BAD) is different from large artery atherothrombotic disease (LAD) or lacunar infarction (LACI). The concept of BAD is underused in clinical practice and research. Methods: Patients admitted over 24-months with ischemic stroke caused by atherosclerotic disease were reviewed retrospectively and classified according to radiological ± clinical criteria into LAD, BAD and LACI. The BAD cases were further divided into 5 BAD syndromes. Clinical characteristics, vascular risk factors, results of vascular workup and outcome among these subgroups were compared. Results: 123 cases of LAD (17% of all stroke patients or 33% of all studied patients), 147 BAD (20% or 40%) and 102 LACI (14% or 27%) presented during the study period. Compared to LAD, BAD patients had milder neurological deficits, were less often diabetic and carotid stenosis was less common, while stenosis of the intracranial arteries was more frequent in BAD as compared with LACI patients. Outcome in BAD patients was intermediate between LAD and LACI. Comparisons among the BAD syndromes indicated they were homogenous conditions. Conclusions: BAD is the most prevalent ischemic stroke subtype in our cohort. The homogeneity among the BAD syndromes suggests they might represent a distinctive stroke entity. © 2011 Elsevier B.V.
Persistent Identifierhttp://hdl.handle.net/10722/135782
ISSN
2015 Impact Factor: 2.126
2015 SCImago Journal Rankings: 1.024
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorKwan, MWMen_HK
dc.contributor.authorMak, Wen_HK
dc.contributor.authorCheung, RTFen_HK
dc.contributor.authorHo, SLen_HK
dc.date.accessioned2011-07-27T01:48:11Z-
dc.date.available2011-07-27T01:48:11Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal Of The Neurological Sciences, 2011, v. 303 n. 1-2, p. 80-84en_HK
dc.identifier.issn0022-510Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/135782-
dc.description.abstractBackground: The mechanism of ischemic stroke in intracranial branch atheromatous disease (BAD) is different from large artery atherothrombotic disease (LAD) or lacunar infarction (LACI). The concept of BAD is underused in clinical practice and research. Methods: Patients admitted over 24-months with ischemic stroke caused by atherosclerotic disease were reviewed retrospectively and classified according to radiological ± clinical criteria into LAD, BAD and LACI. The BAD cases were further divided into 5 BAD syndromes. Clinical characteristics, vascular risk factors, results of vascular workup and outcome among these subgroups were compared. Results: 123 cases of LAD (17% of all stroke patients or 33% of all studied patients), 147 BAD (20% or 40%) and 102 LACI (14% or 27%) presented during the study period. Compared to LAD, BAD patients had milder neurological deficits, were less often diabetic and carotid stenosis was less common, while stenosis of the intracranial arteries was more frequent in BAD as compared with LACI patients. Outcome in BAD patients was intermediate between LAD and LACI. Comparisons among the BAD syndromes indicated they were homogenous conditions. Conclusions: BAD is the most prevalent ischemic stroke subtype in our cohort. The homogeneity among the BAD syndromes suggests they might represent a distinctive stroke entity. © 2011 Elsevier B.V.en_HK
dc.languageengen_US
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jnsen_HK
dc.relation.ispartofJournal of the Neurological Sciencesen_HK
dc.subjectAtherosclerosisen_HK
dc.subjectCerebral infarctionen_HK
dc.subjectIntracranial arterial diseaseen_HK
dc.subjectStrokeen_HK
dc.subjectStroke classificationen_HK
dc.subjectStroke mechanismen_HK
dc.subject.meshBrain Ischemia - complications - pathology-
dc.subject.meshCerebral Arteries - pathology-
dc.subject.meshCerebral Infarction - pathology-
dc.subject.meshPlaque, Atherosclerotic - pathology-
dc.subject.meshStroke - etiology - pathology-
dc.titleIschemic stroke related to intracranial branch atheromatous disease and comparison with large and small artery diseasesen_HK
dc.typeArticleen_HK
dc.identifier.emailCheung, RTF:rtcheung@hku.hken_HK
dc.identifier.emailHo, SL:slho@hku.hken_HK
dc.identifier.authorityCheung, RTF=rp00434en_HK
dc.identifier.authorityHo, SL=rp00240en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jns.2011.01.008en_HK
dc.identifier.pmid21277587-
dc.identifier.scopuseid_2-s2.0-79952815279en_HK
dc.identifier.hkuros187215en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79952815279&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume303en_HK
dc.identifier.issue1-2en_HK
dc.identifier.spage80en_HK
dc.identifier.epage84en_HK
dc.identifier.isiWOS:000289339900013-
dc.publisher.placeNetherlandsen_HK
dc.identifier.scopusauthoridKwan, MWM=12792937200en_HK
dc.identifier.scopusauthoridMak, W=22948344000en_HK
dc.identifier.scopusauthoridCheung, RTF=7202397498en_HK
dc.identifier.scopusauthoridHo, SL=25959633500en_HK
dc.identifier.citeulike8746361-

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